Rep. Robyn Gabel

Amends the Illinois Act on the Aging. In provisions concerning the Council on Aging, provides that at least 7 citizen members shall represent underrepresented communities, including, but not limited to: one member who is a lesbian, gay, bisexual, or queer individual; one member who is a transgender or gender-expansive individual; one member who is an African-American or Black individual; and one member who is an Asian-American or Pacific Islander individual. Creates the Illinois Commission on LGBTQ Aging to investigate, analyze, and study the health, housing, financial, psychosocial, home-and-community-based services, assisted living, and long-term care needs of LGBTQ older adults and their caregivers. Requires the Commission to make recommendations to improve access to benefits, services, and supports for LGBTQ older adults and their caregivers. Requires the Commission to: examine the impact of State and local laws, policies, and regulations on LGBTQ older adults and make recommendations to ensure equitable access, treatment, care and benefits, and overall quality of life; and examine strategies to increase provider awareness of the needs of LGBTQ older adults and their caregivers and to improve the competence of and access to treatment, services, and ongoing care, including preventive care; and carry out other duties. Contains provisions concerning: members appointed to the Commission; Commission meetings and reports; an LGBTQ Older Adult Advocate to advocate for LGBTQ older adults and older adults living with HIV who experience barriers to accessing and utilizing services; an LGBTQ Older Adult Curriculum and Training Program; and other matters. Effective immediately.

Amends the Elevator Safety and Regulation Act. Provides that it shall be the responsibility of the owner or the owner's representative (rather than the owner) to complete and submit first-time registration for new installations prior to the issuance of the initial certificate of operation.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to be responsible for and actively oversee managed care organization compliance and shall immediately modify all contractual arrangements with each of the managed care organizations in conflict with the provisions of the amendatory Act. Provides that a managed care organization's failure to agree to all necessary amendments to its contract with the State shall constitute the company's notice of withdrawal from the medical assistance program. Requires the Department to attest to each managed care organization's compliance with all provisions of the amendatory Act within 60 days after the effective date of the amendatory Act. Provides that if the Department cannot attest to each managed care organization's compliance by the end of the 60 days or after any of the audits required under the amendatory Act, then the Department shall prohibit the managed care organization from managing skilled nursing facilities patients under the medical assistance managed care program. Contains provisions concerning the transition of network residents to managed care organizations in good standing; quarterly audits of each managed care organization's business practices; monthly audits of each managed care organization's information technology and systems; Medicaid fee-for-service reimbursement rates for nursing facilities under contract with managed care organizations; fines for non-compliance; and other matters.

Amends the Firearm Owners Identification Card Act. Makes a technical change in a Section concerning a legislative declaration. House Committee Amendment No. 1 Deletes reference to: 430 ILCS 65/1 Adds reference to: New Act Replaces everything after the enacting clause. Creates the Microstamping Funding Program Act. Defines terms. Provides that the State shall establish a grant program for law enforcement officers for microstamp-ready firearms. Provides that the grant program shall be administered by the Illinois State Police and the grant funds shall only be used for the purchase of microstamp-ready firearms by law enforcement agencies that are grant recipients. Provides for education and training in relation to the program, as well as for grant application and participation. Provides that the Illinois State Police shall collect certain data related to the program. Provides that any person who knowingly or intentionally changes, alters, removes or obliterates the name of the importer's or manufacturer's serial number or the microstamping mechanism of any firearm commits a Class 2 felony. Provides legislative findings. House Committee Amendment No. 2 Replaces references to the Illinois State Police with references to the Illinois Criminal Justice Information Authority.

Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance.

Appropriates $246,800,000 from the General Revenue Fund to the Department of Human Services for a full second year implementation of all of the rate methodology recommendations contained within the Illinois Developmental Disabilities Services Rate Study Regarding Residential Services and Related Supports. Effective July 1, 2022.

Amends the Environmental Protection Act. Provides that all CCR generated by the electric generating industry located in a municipality bordering Lake Michigan with greater than 75,000 inhabitants but fewer than 150,000 inhabitants shall be removed from the site. Provides that, notwithstanding any other provision of law, the amendatory provisions do not impact any financial obligation arising before their effective date. Effective immediately. Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) HB 4358, as amended by HA 3, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) HB 4358, as amended by House Amendment 3, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Balanced Budget Note, House Floor Amendment No. 3 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to House Bill 4358, [as amended by House Amendment 3] as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) The legislation will not increase or decrease the number of judges needed in the State of Illinois. Fiscal Note, House Floor Amendment No. 3 (Illinois Environmental Protection Agency) House Amendment #3 imposes no additional fiscal impact on the Illinois EPA. Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in this bill, therefore, there are no appraisals to be filed. Housing Affordability Impact Note, House Floor Amendment No. 3 (Housing Development Authority) HB4358 (H-AM-3) is anticipated to have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. It is possible that some of the training requirements for construction/engineers could come with a cost that gets passed to the construction industry which could impact the affordability of housing in Illinois, but not enough information is provided in the bill to make this determination and the reviewer does not believe there will be any measurable impact. Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department.

Amends the Domestic Violence Act of 1986. In cases in which a petitioner seeks a prohibition on firearm possession, removes a requirement that the respondent receive actual notice of and an opportunity to participate in a hearing. Provides that an order of protection shall include a remedy that prohibits a respondent from possessing any firearms for a minimum of 2 years (instead of for the duration of the order of protection). Provides that any Firearm Owner's Identification Card in the possession of the respondent shall be suspended and turned over to a law enforcement agency of the court's choosing (rather than a local law enforcement agency). Makes other changes.

Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the federal Food and Drug Administration, plans that provide coverage for prescription drugs through the use of a drug formulary that are amended, delivered, issued, or renewed in the State on or after January 1, 2022 shall comply with specified requirements. Provides that the Department of Insurance may adopt rules to implement provisions concerning notice of change of drug formulary. In provisions concerning a contract between a health insurer and a pharmacy benefit manager, provides that a pharmacy benefit manager must update and publish maximum allowable cost pricing information according to specified requirements, must provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs, and must comply with specified requirements if an appeal is denied. Sets forth provisions concerning pharmacy benefit manager contracts; specified requirements that a pharmacy benefit manager shall comply with; and specified requirements that an auditing entity shall comply with when conducting a pharmacy audit. Provides that a violation of specified provisions is an unfair method of competition and unfair and deceptive act or practice in the business of insurance. Sets forth provisions concerning applicability of the Pharmacy Benefit Managers Article of the Illinois Insurance Code, and provisions concerning fiduciary responsibility of a pharmacy benefit manager. Defines terms. Makes other changes. Amends the Illinois Public Aid Code. Sets forth provisions concerning reimbursement of professional dispensing fees and acquisition costs for pharmacy providers.

Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that, beginning on July 1, 2021, breast pumps, breast pump collection and storage supplies, and breast pump kits are exempt from the taxes imposed under those Acts. Effective immediately.